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Audit Alerts

DME contractors perform pre- and post-payment reviews on a continual basis. Through data analysis, the medical review department determines the codes they will review and then sends Additional Documentation Request letters to suppliers that bill those...

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RAC Update

On December 30, 2014, the CMS announced that the National DMEPOS and Home Health & Hospice Recovery Audit contract had been awarded to Connolly, LLC. Connolly is no stranger to the RAC game, as they were previously the Region C Recovery Audit Contractor. Approved...

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Compliance Corner – January 2015

With the implementation of the Affordable Care Act, the government has been given greater authority to enforce compliance and address fraud, waste and abuse. As noted in our last newsletter, the ACA mandates Compliance Programs as a condition of enrollment...

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